PSYCH CH 7 MILIEU THERAPY
REVIEW QUESTIONS
Howvgarevgunitvgexpectationsvgestablishedvginvgavgtherapeuticvgcommunityvgsetting?vg-
vganswer--7vgbasicvgassumptions:vg
thevghealthvginvgeachvgindividualvgisvgtovgbevgrealizedvgandvgencouragedvgtovggrowvg
-everyvginteractionvgisvganvgopportunityvgforvgtherapeuticvgintervention
-thevgindividualvgownsvghisvgorvghervgownvgenvironmentvg
-eachvgindividualvgownsvghisvgorvghervgownvgbehaviorvg
-peervgpressurevgisvgavgusefulvgandvgpowerfulvgtoolvg
-inappropriatevgbehaviorsvgarevgdealtvgwithvgasvgtheyvgoccurvg
-restrictionsvgandvgpunishmentvgarevgtovgbevgavoided
Whichvgmembervgofvgthevginterdisciplinaryvgteamvghasvgavgfocusvgonvgrehabilitationvgandvg
vocationalvgtraining?vg-vganswer--occupationalvgtherapist
Identifyvgthevgfivevgelementsvgofvgavgtherapeuticvgmilieuvgandvggivevganvgexamplevgofvghowv
geachvgonevgmayvgbevgaccomplishedvginvginpatientvgpsychiatricvgunit.vg-vganswer--
refervgtovgcardvg#6
Whatvgarevgthevgexpectedvgoutcomesvgofvgestablishingvgavgtherapeuticvgmilieu?vg-
vganswer--
Clientvgisvgexpectedvgtovglearnvgadaptivevgcoping,vginteractionvgandvgrelationshipvgskillsvgt
hatvgcanvgbevggeneralizedvgtovgothervgaspectsvgofvghisvgorvghervglife.vgAchievingvgclientvgaut
onomy.
DefinevgMilieuvgTherapyvg-
vganswer---"Avgscientificvgstructuringvgofvgthevgenvironmentvginvgordervgtovgeffectvgbehavior
alvgchangesvgandvgtovgimprovevgthevgpsychologicalvghealthvgandvgfunctioningvgofvgthevgindi
vidual."
Whatvgarevgthevgconditionsvgthatvgpromotevgavgtherapeuticvgcommunity?vg-vganswer--
Therevgarevgfivevgelementsvgofvgavgcommunityvgenvironmentvgthatvgarevgnecessaryvgforvgth
erapeuticvgoutcomes.
1.)vgContainment.vgThevgenvironmentvgisvgcontainedvgtovgcreatevgavgsensevgofvgsafetyvgan
dvgsecurity.vgPatientsvgwhovgarevgstrugglingvgwithvgstrongvgsuicidalvgintentions,vgforvgexam
ple,vgoftenvgfindvgthatvglockedvgdoorsvgandvglackvgofvgaccessvgtovgeasyvgmethodsvgofvgself-
harmvgprovidevgthevgcontainmentvgtheyvgneedvgtovgresistvgself-destructivevgimpulses.
2.)vgStructure.vgThevgenvironmentvgneedsvgtovghavevgavgstructurevgthatvgpromotesvgthevggo
alsvgofvgtreatment.vgThisvgincludesvgavgschedulevgofvgactivitiesvgsovgthatvgpatientsvgknowvgw
hat,vgwhen,vgandvgwherevgactivitiesvgarevgtakingvgplace.vgGroupvgtherapies,vgforvgexample,
REVIEW QUESTIONS
Howvgarevgunitvgexpectationsvgestablishedvginvgavgtherapeuticvgcommunityvgsetting?vg-
vganswer--7vgbasicvgassumptions:vg
thevghealthvginvgeachvgindividualvgisvgtovgbevgrealizedvgandvgencouragedvgtovggrowvg
-everyvginteractionvgisvganvgopportunityvgforvgtherapeuticvgintervention
-thevgindividualvgownsvghisvgorvghervgownvgenvironmentvg
-eachvgindividualvgownsvghisvgorvghervgownvgbehaviorvg
-peervgpressurevgisvgavgusefulvgandvgpowerfulvgtoolvg
-inappropriatevgbehaviorsvgarevgdealtvgwithvgasvgtheyvgoccurvg
-restrictionsvgandvgpunishmentvgarevgtovgbevgavoided
Whichvgmembervgofvgthevginterdisciplinaryvgteamvghasvgavgfocusvgonvgrehabilitationvgandvg
vocationalvgtraining?vg-vganswer--occupationalvgtherapist
Identifyvgthevgfivevgelementsvgofvgavgtherapeuticvgmilieuvgandvggivevganvgexamplevgofvghowv
geachvgonevgmayvgbevgaccomplishedvginvginpatientvgpsychiatricvgunit.vg-vganswer--
refervgtovgcardvg#6
Whatvgarevgthevgexpectedvgoutcomesvgofvgestablishingvgavgtherapeuticvgmilieu?vg-
vganswer--
Clientvgisvgexpectedvgtovglearnvgadaptivevgcoping,vginteractionvgandvgrelationshipvgskillsvgt
hatvgcanvgbevggeneralizedvgtovgothervgaspectsvgofvghisvgorvghervglife.vgAchievingvgclientvgaut
onomy.
DefinevgMilieuvgTherapyvg-
vganswer---"Avgscientificvgstructuringvgofvgthevgenvironmentvginvgordervgtovgeffectvgbehavior
alvgchangesvgandvgtovgimprovevgthevgpsychologicalvghealthvgandvgfunctioningvgofvgthevgindi
vidual."
Whatvgarevgthevgconditionsvgthatvgpromotevgavgtherapeuticvgcommunity?vg-vganswer--
Therevgarevgfivevgelementsvgofvgavgcommunityvgenvironmentvgthatvgarevgnecessaryvgforvgth
erapeuticvgoutcomes.
1.)vgContainment.vgThevgenvironmentvgisvgcontainedvgtovgcreatevgavgsensevgofvgsafetyvgan
dvgsecurity.vgPatientsvgwhovgarevgstrugglingvgwithvgstrongvgsuicidalvgintentions,vgforvgexam
ple,vgoftenvgfindvgthatvglockedvgdoorsvgandvglackvgofvgaccessvgtovgeasyvgmethodsvgofvgself-
harmvgprovidevgthevgcontainmentvgtheyvgneedvgtovgresistvgself-destructivevgimpulses.
2.)vgStructure.vgThevgenvironmentvgneedsvgtovghavevgavgstructurevgthatvgpromotesvgthevggo
alsvgofvgtreatment.vgThisvgincludesvgavgschedulevgofvgactivitiesvgsovgthatvgpatientsvgknowvgw
hat,vgwhen,vgandvgwherevgactivitiesvgarevgtakingvgplace.vgGroupvgtherapies,vgforvgexample,
